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Organization
RESERVOIR RESOURCES PLLC
Active
Organization
RESERVOIR RESOURCES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY E ESHLEMAN MA (OWNER)
(872) 201-1290
Entity
Organization
Contact information
Practice address
2650 W MONTROSE AVE STE 207, CHICAGO, IL 60618-1674
(708) 431-1504
Mailing address
2650 W MONTROSE AVE STE 207, CHICAGO, IL 60618-1674
(872) 201-1290
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255416046
NPI
—
Enumeration date
02/04/2021
Last updated
04/02/2021
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